Individual
ASHLEY SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Mailing address
1601 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 678-0100
(910) 678-0115
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4003
TN
207Q00000X
Family Medicine Physician
Primary
2019-01516
NC
Other
Enumeration date
05/23/2016
Last updated
11/02/2021
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